The CMS has issued guidance on processing claims from accountable care organizations that use a waiver to send Medicare patients to skilled-nursing facilities faster as a way to avoid costly hospital visits and provide tailored care.
Democratic presidential front-runner Hillary Clinton unexpectedly revived the idea of letting Americans in their 50s buy into Medicare as a way of reducing their premiums and out-of-pocket costs. But how viable is that proposal?
CMS Acting Administrator Andy Slavitt emphasized a commitment to working with providers as the new Medicare reimbursement system is implemented. House lawmakers said small-group and solo practitioners are concerned the model will push them out of business or into larger groups.
The comment period closed this week on the Obama administration's bold proposal to rewire how Medicare pays for outpatient drugs, and the CMS is under intense pressure to scrap it.
Regulators are trying to improve and speed up feedback from doctors and patients as providers prepare to implement more value-based payment models such as the new Medicare reimbursement system for physicians.
Fraud penalties for healthcare providers could soon double if a rule released by an obscure federal agency is any indication of what's expected.
Healthcare fraud thrives in the Florida sunshine, where an aging population and the ease of fleeing overseas make for easy pickings.
As hospital margins on traditional fee-for-service Medicare patients plunged deeper into the red, cost-cutting at hospitals has allowed many to make up those losses from their commercially insured clientele.
Collaborative approaches to cutting readmission rates garnered by far the most votes in our reader survey on the most important efforts we've profiled in our regular Best Practices feature.
CMS Acting Administrator Andy Slavitt will testify before a House Ways and Means subcommittee this week on the new reimbursement model for Medicare.
The CMS has started making biweekly calls to state Medicaid agencies to ensure that their information technology systems are ready to handle the 60 million new identification cards the agency is preparing to send out to Medicare beneficiaries, including those dually eligible for both Medicaid and...
In the third round of what's now an annual event, the CMS posted a huge data set that breaks down how much Medicare paid individual physicians, diagnostic labs, ambulance services and other companies.